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Application for National Visa - exteriores.gob.es

Application for National Visa PHOTO. This Application form is free 1. Surname(s) 1 FOR OFFICIAL USE ONLY. 2. Surname(s) at birth (previous surname(s)) 2 Date of Application : 3. Forename(s) 3 Visa Application number: 4. Date of birth (day-month-year) 5. Place of birth 7. Current nationality File processed by: 6. Country of birth Nationality at birth, if different: Documents presented: Travel document 8. Sex 9. Marital status Government authorisation Request for government Male Female Single/a Married Separated Divorced Widow(er) authorisation Others (specify) Means of livelihood Proof of accommodation 10. For minors: surname(s), forename(s), address (if different from that of applicant) and nationality of person who Medical certificate exercises parental responsibility or legal guardian Criminal record certificate Travel medical insurance Note verbale Others: 11.

4 I declare that to the best of my knowledge and belief all particulars supplied by me are correct and complete. I am aware that any false statements shall lead to my application being refused or to the annulment of a visa already granted. I am aware that once the visa request has been submitted, a copy of this form, stamped to

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Transcription of Application for National Visa - exteriores.gob.es